Dr. Scheverin Nicolas 
Especialista  en Patologia  de Columna
Dr. Scheverin Nicolas 
Especialista  en Patologia  de Columna
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TURNOS
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TURNOS

patologiEs

 Spinal disorders can present in different ways, with pain being the most common symptom.


An accurate diagnosis is essential to determine the most appropriate treatment. In most cases, these conditions can be managed conservatively, reserving surgery for specific situations.


Not all spinal conditions require the same approach.


A thorough evaluation allows us to identify the underlying cause and define the most appropriate treatment strategy for each patient.


Below are some of the most common conditions:

LOW BACK PAIN

Sciatica (dolor en la Pierna)

LUMBAR DISC HERNIATION

3D illustration showing spine pain and lower back inflammation.

Low back pain is one of the most common reasons for medical consultation. In most cases, this discomfort has a mechanical origin and is not associated with serious underlying conditions such as lumbar disc herniation. It is often related to overload, muscle strain, or degenerative changes, which can also lead to issues like neck pain and sciatica. Fortunately, low back pain generally improves with conservative treatment, addressing any spinal deformities that may contribute to the problem.

LUMBAR DISC HERNIATION

Sciatica (dolor en la Pierna)

LUMBAR DISC HERNIATION

3D illustration of a herniated disc in the lumbar spine causing nerve compression.

A lumbar disc herniation occurs when the intervertebral disc displaces, potentially compressing nearby nerve structures. This condition can lead to low back pain, often accompanied by radiating leg pain known as sciatica, as well as numbness or weakness. Fortunately, most cases of herniated discs do not require surgery (approximately 80%) and can be effectively treated with non-invasive methods. However, a thorough medical evaluation is essential to identify the most appropriate treatment options, especially for those experiencing neck pain or spinal deformities.

Sciatica (dolor en la Pierna)

Sciatica (dolor en la Pierna)

Neck Pain (cervicalgia)

Illustration of sciatic nerve pain from lower back to foot.

Sciatica refers to low back pain that radiates from the lower back down the leg due to irritation or compression of the sciatic nerve. It is commonly caused by conditions such as lumbar disc herniation or spinal deformities, and may be accompanied by numbness or weakness. Treatment for sciatica is usually conservative, with surgery reserved for specific cases where other treatments have failed.

Neck Pain (cervicalgia)

Neck Pain (cervicalgia)

Neck Pain (cervicalgia)

Visualization of neck pain with highlighted cervical spine in red.

Neck pain is a frequent condition that can often be related to muscle strain, poor posture, or degenerative changes in the cervical spine. In some cases, it may be associated with stiffness, headaches, or pain radiating to the shoulders or arms. Additionally, individuals suffering from low back pain or conditions such as sciatica may find their discomfort linked to spinal deformities. Fortunately, most cases of neck pain improve with conservative treatment.

Spinal Deformities (escoliosis - Cifosis)

Neck Pain (cervicalgia)

Spinal Deformities (escoliosis - Cifosis)

3D medical illustration showing a human spine with scoliosis curvature.

Spinal deformities involve abnormal curvature of the spine, which can lead to issues such as low back pain and neck pain. These conditions may be present from adolescence or develop in adulthood due to degenerative changes, potentially resulting in lumbar disc herniation or sciatica. Treatment options for spinal deformities depend on severity and may include observation, bracing, or surgery.

Revision Surgery

Neck Pain (cervicalgia)

Spinal Deformities (escoliosis - Cifosis)

3D medical illustration of spinal surgery with metal implants on a human back.

Revision spine surgery is performed in patients experiencing persistent symptoms, such as low back pain or neck pain, or complications following previous procedures, including those related to lumbar disc herniation, sciatica, and spinal deformities. These cases necessitate a detailed evaluation and individualized treatment planning.

Cervical Myelopathy

High Complexity Spine Surgery

High Complexity Spine Surgery

3D illustration showing cervical spine pain and nerve inflammation.

Cervical myelopathy is a condition caused by compression of the spinal cord in the cervical spine, which can sometimes be mistaken for symptoms related to neck pain or even low back pain due to its impact on overall spinal health. It may lead to clumsiness in the hands, difficulty walking, imbalance, and neurological deficits, similar to issues seen in conditions like lumbar disc herniation or sciatica. Surgical treatment is often recommended to prevent progression and address any spinal deformities that may contribute to the condition.

High Complexity Spine Surgery

High Complexity Spine Surgery

High Complexity Spine Surgery

3D medical illustration showing a tumor in the neck spine area.

Certain cervical spine conditions, such as spinal deformities and tumors, may require surgical treatment as the only effective option due to their complexity and potential impact on neurological function and overall quality of life. Conditions like neck pain, rigid deformities, dislocations, and fractures can significantly compromise patient outcomes, similar to how lumbar disc herniation can affect the lower back, leading to low back pain and sciatica if not treated appropriately. Therefore, careful preoperative planning is essential to achieve optimal results and ensure patient safety.

When to Seek Medical Evaluation ?

Doctor holding a spine model with a stethoscope and clipboard.

Spine pain, including low back pain and neck pain, is very common and, in most cases, is not associated with serious conditions. However, there are situations, such as lumbar disc herniation, sciatica, or spinal deformities, where a specialized evaluation is important to determine the underlying cause and define the most appropriate treatment.

🔸 Persistent pain

When experiencing low back pain that does not improve after several days or weeks, or begins to limit daily activities, it may be a sign of a more serious issue.


🔸 Pain radiating to the arms or legs

This may indicate nerve involvement, such as sciatica or cervical nerve compression related to neck pain.


🔸 Numbness, tingling, or weakness

The presence of these neurological symptoms requires a more detailed evaluation, especially if they are associated with lumbar disc herniation or spinal deformities.


🔸 Difficulty walking or loss of balance

Such difficulties may be linked to neurological compromise, particularly in conditions affecting the cervical spine.


🔸 Severe or disabling pain

When pain, including low back pain, interferes with basic activities or does not respond to standard pain medication, it warrants immediate attention.


🔸 History of trauma

Falls or accidents can lead to spinal injuries, including lumbar disc herniation, that should be thoroughly evaluated.


🔸 Pain associated with fever or weight loss

These uncommon symptoms require further evaluation to rule out infection or more complex conditions.


🔸 Changes in bowel or bladder control

Difficulty controlling urination or bowel movements is a medical emergency and should be addressed immediately.

If you are experiencing symptoms such as low back pain, neck pain, or sciatica, you may want to request a consultation for a personalized evaluation, especially if you have concerns about lumbar disc herniation or spinal deformities.

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